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Báo cáo y học: "Bilateral heterochronic spontaneous hemothorax caused by pulmonary"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Bilateral heterochronic spontaneous hemothorax caused by pulmonary . | Zhao et al. Journal of Cardiothoracic Surgery 2010 5 96 http www.cardiothoracicsurgery.Org content 5 1 96 JOTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Bilateral heterochronic spontaneous hemothorax caused by pulmonary arteriovenous malformation in a gravid A case report 1 I 2 I X 1 1 3 1 Yinghao Zhao Guang-Yu Li Zhiguang Yang Peng Zhang Kun Zhang Guoguang Shao Abstract Bilateral heterochronic spontaneous hemothorax as a result of pulmonary ateriovenous malformation is a very rarely happened disease. A 34-year-old woman presented major symptoms with right-sided chest pain and shortness of breath. The following contrast-enhanced computed tomographic scan of the chest showed a large amount of fluid in the right thorax with mediastinal shift but without major vessel injury and 2 small dense opacities in the apical segment of the right lower lobe and in the posterior aspect of the left lower lobe. The patient underwent local resection of the right lower lobe. The pulmonary ateriovenous malformation was further identified by pathological examination. One month after she was discharged home the symptoms described above recurred. A follow-up computed tomographic scan of the chest showed a large amount of fluid in the left thorax. During the emergency operation we found a bullous lesion in the left lower lobe and a small blood vessel overlying the lesion that was actively bleeding. As stated above local resection of the left lower lobe was performed once more. Pathological result was the same as observed previously. There were no postoperative complications and she was discharged from the hospital after two weeks. Two months later she successfully delivered a healthy female infant. Up to now regular follow-up observation has shown her to be perfectly asymptomatic. Background Nontraumatic hemothorax is distinctly uncommon bilateral heterochronic spontaneous hemothorax is rarer. They may result from a variety of causes and in some patients the cause can .